Fairfield Hospital
3000 Mack Rd., Fairfield, OH · Mercy · · NPI 1467552471
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $3.00 | $5.00 | not published | 0 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $1,150.74 | $1,917.90 | not published | 0 |
| Tacrolimus therapeutic drug level CPT 80197 | $39.00 | $65.00 | not published | 0 |
| Talymed HCPCS Q4127 | $3,411.49 | $5,685.81 | not published | 0 |
| Tap block bilat cont infusion 64489 CPT 64489 | $2,408.40 | $4,014.00 | not published | 0 |
| Tap block uni by cont infusion 64487 CPT 64487 | $1,204.80 | $2,008.00 | not published | 0 |
| Target gsa panel hmtlmph neop CPT 81450 | $3,193.20 | $5,322.00 | not published | 0 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $6,127.20 | $10,212.00 | not published | 0 |
| Target gsa panel organ neop CPT 81445 | $997.80 | $1,663.00 | not published | 0 |
| Tavr perq femoral CPT 33361 | $14,964.60 | $24,941.00 | not published | 0 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1,727.58 | $2,879.30 | not published | 0 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $151.20 | $252.00 | not published | 0 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $5,141.94 | $8,569.90 | not published | 0 |
| Tc-99m mebrofenin HCPCS A9537 | $122.40 | $204.00 | not published | 0 |
| Tc-99m mertiatide HCPCS A9562 | $387.00 | $645.00 | not published | 0 |
| Tc-99m oxidronate HCPCS A9561 | $1,031.10 | $1,718.50 | not published | 0 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $230.40 | $384.00 | not published | 0 |
| Tc-99m sulfur colloid HCPCS A9541 | $205.80 | $343.00 | not published | 0 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $190.80 | $318.00 | not published | 0 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $292.80 | $488.00 | not published | 0 |
| T cells absolute cd 4 count CPT 86361 | $49.20 | $82.00 | not published | 0 |
| T cells total count CPT 86359 | $85.20 | $142.00 | not published | 0 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $10,201.68 | $17,002.80 | not published | 0 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $35,844.18 | $59,740.30 | not published | 0 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $75,147.78 | $125,246.30 | $1,594.23 – $1,626.11 | 4 |
| Tension based scoliosis orth HCPCS L1005 | $7,573.03 | $12,621.71 | not published | 0 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $6.00 | $10.00 | not published | 0 |
| Tert gene targeted seq alys CPT 81345 | $1,493.40 | $2,489.00 | not published | 0 |
| Test for chlorohydrocarbons CPT 82441 | $132.60 | $221.00 | not published | 0 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $75.00 | $125.00 | not published | 0 |
| Test socket below knee HCPCS L5620 | $610.71 | $1,017.85 | not published | 0 |
| Tetanus immune globulin inj HCPCS J1670 | $2,804.46 | $4,674.10 | not published | 0 |
| Therapeutic procd strg endur HCPCS G0237 | $260.40 | $434.00 | not published | 0 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $6.00 | $10.00 | not published | 0 |
| Thigh/wght bear high roll cu HCPCS L2550 | $805.06 | $1,341.76 | not published | 0 |
| Thigh/wght bear lacer molded HCPCS L2540 | $1,073.75 | $1,789.59 | not published | 0 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | $567.44 | $945.73 | not published | 0 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | $740.42 | $1,234.04 | not published | 0 |
| Thorac cont lat support upri HCPCS L2680 | $346.21 | $577.02 | not published | 0 |
| Thorac cont paraspinal uprig HCPCS L2670 | $377.39 | $628.98 | not published | 0 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $5,568.70 | $9,281.17 | $621.93 – $634.37 | 4 |
| Thoracic control thoracic ba HCPCS L2660 | $423.94 | $706.57 | not published | 0 |
| Thoracic pad HCPCS L1060 | $256.25 | $427.09 | not published | 0 |
| Thoracotomy with cardiac massage CPT 32160 | $1,542.00 | $2,570.00 | not published | 0 |
| Thor rib belt custom fabrica HCPCS L0220 | $2,720.16 | $4,533.60 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $5,761.80 | $9,603.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $14,227.80 | $23,713.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $25,210.20 | $42,017.00 | not published | 0 |
| Thrombin time CPT 85670 | $22.80 | $38.00 | not published | 0 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $24.60 | $41.00 | not published | 0 |
| Th/wght bear nar m-l brim cu HCPCS L2526 | $1,515.38 | $2,525.64 | not published | 0 |
| Th/wght bear nar m-l brim mo HCPCS L2525 | $2,696.86 | $4,494.76 | not published | 0 |
| Th/wght bear quad-lat brim c HCPCS L2520 | $1,271.78 | $2,119.63 | not published | 0 |
| Th/wght bear quad-lat brim m HCPCS L2510 | $1,908.28 | $3,180.47 | not published | 0 |
| Thyroglobulin antibody CPT 86800 | $54.00 | $90.00 | not published | 0 |
| Thyroid imaging CPT 78013 | $595.80 | $993.00 | not published | 0 |
| Thyroid met imaging CPT 78015 | $648.00 | $1,080.00 | not published | 0 |
| Thyroid mets imag whole body CPT 78018 | $1,347.60 | $2,246.00 | not published | 0 |
| Thyroid (TSH) Test CPT 84443 | $120.60 | $201.00 | not published | 0 |
| Thyroid Ultrasound CPT 76536 | $693.00 | $1,155.00 | not published | 0 |
| Thyroid uptake measurement CPT 78012 | $448.80 | $748.00 | not published | 0 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $1,615.74 | $2,692.90 | not published | 0 |
| Thyroxine binding globulin (tbg) CPT 84442 | $32.40 | $54.00 | not published | 0 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $1,078.38 | $1,797.30 | not published | 0 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $7,611.55 | $12,685.92 | not published | 0 |
| Tissue culture placenta CPT 88235 | $285.00 | $475.00 | not published | 0 |
| Tissue culture skin/biopsy CPT 88233 | $291.60 | $486.00 | not published | 0 |
| Tissue culture tumor CPT 88239 | $268.80 | $448.00 | not published | 0 |
| Tissue exam koh skin/hair/nails CPT 87220 | $27.60 | $46.00 | not published | 0 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $33,376.04 | $55,626.73 | not published | 0 |
| Tissue transglutaminase iga CPT 86364 | $20.40 | $34.00 | not published | 0 |
| Tlh w/t/o 250 g or less CPT 58571 | $44,443.62 | $74,072.70 | $10,538.83 – $10,538.83 | 3 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | $2,110.21 | $3,517.02 | not published | 0 |
| Tlso 2 piece rigid shell HCPCS L0491 | $1,817.14 | $3,028.57 | not published | 0 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | $2,160.47 | $3,600.78 | not published | 0 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | $2,687.36 | $4,478.93 | not published | 0 |
| Tlso 3 piece rigid shell HCPCS L0492 | $1,183.29 | $1,972.15 | not published | 0 |
| Tlso corset front HCPCS L0970 | $252.85 | $421.41 | not published | 0 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | $820.60 | $1,367.66 | not published | 0 |
| Tlso full corset HCPCS L0974 | $413.47 | $689.12 | not published | 0 |
| Tlso r fram soft ant pre cst HCPCS L0466 | $897.72 | $1,496.20 | not published | 0 |
| Tlso r fram soft pre ots HCPCS L0467 | $897.72 | $1,496.20 | not published | 0 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | $1,125.03 | $1,875.05 | not published | 0 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | $1,125.03 | $1,875.05 | not published | 0 |
| Tlso rigid frame pre subclav HCPCS L0470 | $1,556.79 | $2,594.65 | not published | 0 |
| Tlso rigid lined custom fab HCPCS L0482 | $3,410.30 | $5,683.84 | not published | 0 |
| Tlso rigid lined pre one pie HCPCS L0488 | $2,375.18 | $3,958.64 | not published | 0 |
| Tlso rigid plastic custom fa HCPCS L0480 | $3,573.87 | $5,956.45 | not published | 0 |
| Tlso rigid plastic pre one HCPCS L0490 | $669.31 | $1,115.51 | not published | 0 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | $1,117.92 | $1,863.20 | not published | 0 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $360.96 | $601.60 | not published | 0 |
| Tobramycin non-comp unit HCPCS J7682 | $55.68 | $92.80 | not published | 0 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $5,736.60 | $9,561.00 | not published | 0 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $45.60 | $76.00 | not published | 0 |
| Tomosynthesis breast screen bilateral CPT 77063 | $60.60 | $101.00 | not published | 0 |
| Tonsillectomy (age 12+) CPT 42826 | $17,189.58 | $28,649.30 | $3,287.07 – $3,287.07 | 3 |
| Torsion ank & half solid sti HCPCS L2375 | $291.13 | $485.22 | not published | 0 |
| Torsion straight knee joint HCPCS L2380 | $253.84 | $423.07 | not published | 0 |
| Total Hip Replacement CPT 27130 | $44,384.87 | $73,974.78 | $12,728.77 – $12,728.77 | 3 |
| Total Knee Replacement CPT 27447 | $53,346.68 | $88,911.13 | $12,728.77 – $12,983.34 | 4 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.